Title Page

  • Conducted on

  • Prepared by

  • Location
  • Time Spraying Started

  • Time Spraying Finished

  • Chemical used

  • Name of chemical used

  • Pest/Disease Targeted

  • Chemical Active

  • Pest/Disease Targeted

  • Chemical Active

  • Pest/Disease Targeted

  • Chemical Active

  • Pest/Disease Targeted

  • Chemical Active

  • Pest/Disease Targeted

  • Chemical Active

  • Pest/Disease Targeted

  • Chemical Active

  • Pest/Disease Targeted

  • Chemical Active

  • Pest/Disease Targeted

  • Chemical Active

  • Pest/Disease Targeted

  • Chemical Active

  • Pest/Disease Targeted

  • Chemical Active

  • Pest/Disease Targeted

  • Chemical Active

  • Pest/Disease Targeted

  • Rate L/Ha

  • Water Volume L/Ha

  • Application Type

  • Total Volume Used

  • Total Chemical Used

  • Total Area Treated

Weather Conditions

  • Wind Speed (km/h)

  • Wind Direction

  • Weather Conditions

  • Delta T

  • If Delta t is above 10 - cease spraying

  • Temperature ( in degrees celsius)

  • Is a follow up spray required?

  • Date of follow up spray required

Sketch of Site to be Sprayed

  • Add aerial photo here from Intramaps

Observations

  • Comments

Signature

  • Sign here

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